Redes de atenção à saúde: atenção básica no cuidado à saúde da mulher

• Autor(a) principal: Melo, Emily Nayana Nasmar de
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/6034
• topic: Atenção básica à saúde; Redes de atenção à saúde; Avaliação de serviços em saúde; Câncer de colo do útero; Câncer de mama; Primary health care; Care networks health; Health services evaluation; Cervical cancer; Breast cancer; CIENCIAS DA SAUDE::SAUDE COLETIVA

Breast cancers and the cervix are the most incidents among women brazilian and why public policy has been implemented with a view to reducing morbidity and mortality from these neoplasms, with policies assists in health of women. There are global and Brazilian evidence that the best way to win comprehensiveness is through the Health Care Networks in the Primary Care coordinates and organizes the care and thus should have its rated performance. Objective: To analyze the structure and process of primary care to health in care network to cancers of the cervix and breast in the State of Goiás. Method: This is a descriptive, analytical study, cross-sectional. At information was obtained from the evaluation of the national basic database External Access Improvement Programme and Quality of Primary Care (PMAQ-AB), second cycle, for the state of Goiás. The study included 975 Basic Health Units of the 246 municipalities in the state of Goiás that answered the module and 1179 professionals who answered the interviews module II of the third phase of the research, which makes up the linked external evaluation the PMAQ-AB. For data analysis, the Health Regions of the State of Goiás were divided into five categories. Results: In the table layout gynecological and focus light for examination all categories results satisfactory. In the women's record component requirements for undertaking the Pap smear of the cervix, 80.3% of Primary Care Teams State of Goias said perform this action, 51.4% of the teams use risk stratification protocols for cervical cancer presenting a very high variation of category 1 (28.4%) for category 4 (71.1%). All categories showed good results for the collection of examination Papanicolaou. Category 1 had the lowest indicator with 24.6% of the teams performing registration of eligible women for a mammogram and use risk stratification protocols. The category 5, more results satisfactory in components, mammography examination request (97.7%), record of users referred to other points of care (49.1%) and conducting an active search for women with breast cancer (80.8%) when compared to other categories. The Primary Care shown in fragile coordination of care for cervical cancer of the uterus and breast and, consequently, the ordination of assistance in other points of attention is impaired. Investment is required of managers in the implementation and implement more effective health policies to strengthen Primary Care and the change of behavior of primary care teams for better performance of its assistance to women's health.